ECG nkhawa: kodi zotsatira kusonyeza zabwinobwino?

Kudziwa kuvutika zosiyanasiyana mtima nthawi zambiri zotchulidwa ndi electrocardiogram. Njira kwenikweni yosavuta. Komabe, iye chimodzi cha nkhani kwambiri. Ngati ndondomeko si zotsatira bwino, wodwala kutumikiridwa ndi electrocardiogram ndi katundu wina. njira walola kuti adzawulule kudwala zobisika ndi mankhwala chithandizo chokwanira.

General kufotokoza ndondomeko

Pafupifupi aliyense anali kamodzi pochitika ndondomeko amatchedwa electrocardiography (ECG). Ndi kujambula kwa zikhumbo za magetsi (mafundewo) pamene mapangano mtima. M'chitetezo deta ndi kuchita pa Zithunzi zimathandiza wapadera chipangizo - ndi electrocardiograph. chifukwa Izi zimaoneka ngati pamapindikira zovuta. Decoding mfundo analandira zambiri zikugwira ndi dokotala.

Wokongola yosavuta njira ya matenda a matenda a mtima kuti zotsatira zolondola. An electrocardiogram ndi imodzi mwa njira yotsika mtengo ndi angagulidwe. Ubwino akhoza kutchedwa palibe kuyan'anila za umphumphu wa khungu.

Electrocardiography ndi zolimbitsa thupi

Pali njira zosiyanasiyana electrocardiography, mmodzi amene ndi EKG katundu. Ndondomeko mwachizolowezi pamene wodwala pa mpumulo, sikuti kusonyeza zolakwika zonse mu mtima. Kulembetsa mtima zimachitika pa masewera olimbitsa thupi amalola kudziwa chifukwa chenicheni cha matenda chifukwa cha ntchito yogwira minofu mtima ndi lonse chamoyo.

njira

Kuchita electrocardiography ndi katundu mu njira zingapo. Imodzi mwa njira zofanana zinchito kafukufuku. Palibe zipangizo zina zapadera si ntchito, chikomokere wotchi yoyimitsa ndi cardiograph. Odwala kuti mugwire Zochita yosavuta. Zimakhala anyonyomala kapena mwatsatane pa sitepe nsanja.

Veloergometry chimodzi cha njira zambiri zothandiza pa diagnostics dzuwa la minofu mtima. Ntchito zake zolimbitsa thupi ndi njinga zida ndi zipangizo zotha wapadera ndi kompyuta wamphamvu. Pamene ECG zolimbitsa deta yonse kunditumiza ku kompyuta kwa wogonjetsa ndi kusanthula.

A njira zofanana pa Kupeza Vuto ndi matayala mayeso, ankangomva zolimbitsa thupi matayala. Ngati wodwala wayamba chisoni, diagnostics wathunthu ndipo kusamalira zofunika mankhwala.

Zikuonetsa ntchito

Ndondomeko zimathandiza kuzindikira mwamsanga mavuto amene analipo ndi mtima minofu kupirira ndi kuyatsa mlingo kwa wodwala aliyense. An electrocardiogram ndi imodzi mwa njira zofunika matenda kwa anthu ogwira ntchito mavuto.

Perekani ndondomeko angathe pa nthawi imene muyezo ECG sankafuna chosayenerera aliyense, koma ngati wodwalayo anadandaula za maonekedwe nthawi zizindikiro zosasangalatsa. Direct umboni kwa mpheto ndimeyi ndi katundu pang'onopang'ono kuwonjezeka ali pathologies zotsatirazi:

• kufunika kwa kudziwa mtundu ndi mmene matenda mtsempha wamagazi;
• matenda fibrillation ;
• madandaulo kawirikawiri ululu mu mtima mwathu;
• oopsa;
• kobadwa nako ndipo anaphunziranso matenda a mtima;
• arrhythmia, tachycardia;
• maonekedwe a khungu cyanosis kapena kufooka mwadzidzidzi.

Ngati matenda kuyambirira pa electrocardiograph uti unene pamaso pa matenda a mtima, ndiye agwire mayeso ndi katundu ndi sizimatanthauza.

contraindications

Katswiri ayenera kuonetsetsa kuti palibe contra-zizindikiro pamaso pa mtima akulandira ECG ndi katundu wina. Chifukwa zina, mtundu wa matenda akhoza kukhala moyo pachiswe. Mu yochizira matenda, pali mtheradi ndi wachibale contraindications kwa mpheto. Gulu loyamba zikuphatikizapo kudwala lolemera:

• ikadzatha m'mnyewa wamtima infarction (kugwira ndondomeko simungathe masiku kale kuposa 14 pambuyo kumuukira);
• arrhythmia, osati amenable kuti kukhudzana zachipatala
• aakulu nthenda;
• pericarditis, myocarditis, endocarditis;
• congestive mtima kulephera;
• embolism m'mapapo mwanga ;
• kung'ambika stenosis mu mawonekedwe chaukali;
• kukayikirana wa aneurysm mu chotengera mtolo.

Ngati wodwala contraindications wachibale dokotala ayenera kuona kufunika electrocardiography ndi thupi.

Matendawa nthawi anapatsidwa monga yomalizira pamene njira zina alephera. gulu Izi zikuphatikizapo zinthu zimenezi pathological monga kupanda magnesium ndi calcium, digiri aakulu a shuga, matenda a mtima ndi stenosis zolimbitsa, arrythmia yamitsempha yamagazi, hypothyroidism, kumanzere yamitsempha yamagazi aneurysm, kubadwa mimba.

Kodi ndondomeko?

Kuti apange electrocardiogram ndi katundu wina, m'pofunika kukaonana ndi cardiologist ndi kubatizidwa kudzifufuza waukuluwo. Ngati wodwala alibe contraindications, zikhoza perekani mayeso pa njinga yosasuntha (njinga ergometry) kapena matayala. Kwambiri nkhani ndipo amagwiritsidwa ntchito ndi chimake choyamba.

Isanayambe matenda kwa khungu la mtima amamangirira katswiri kachipangizo. Ndondomeko idzachitike imodzi ndi fixation magazi. masensa ali wokwera m'dera wa phewa, masamba phewa ndi kuchepetsa kumbuyo. Pa mphindi zitatu woyamba m'pofunika kuti pulogalamu yoyeseza 180 rpm (60 kusintha pa mphindi). Pambuyo pa mphindi zitatu mpaka katundu chidzachulukira mpaka siziwoneka kufooka, chizungulire kapena ululu.

Wodwala ayenera kudziwitsa za mmene akumvera ndiponso dokotala wathunthu ndondomeko ECG. Pambuyo deta katundu wolembedwa kwa mphindi zina 10. Nthawi iyi imakhala yokwanira kuonetsetsa kuti kugunda kwa mtima zinayambanso kuyenda bwino. Zotsatira zimatumizidwa kwa adotolo matenda.

Molondola amatanthauzira zotsatira

ECG ndi katundu amapereka zambiri yodalirika pa udindo wa minofu mtima ndi mitsempha ya magazi. Kutsiliza muli zizindikiro zotsatirazi:

1. ntchito (J) yotentha ndi wodwalayo.
2. Mphamvu pakhomo (W).
3. Zifukwa kuchotsa oyambirira kuphunzira.
4. Kutsiliza pa ntchito.
5. Mphamvu ya kugunda kwa mtima ndi kuthamanga kwa magazi.
6. nthawi imene munataya kuti matenda mitengo mtima ndi kuthamanga kwa magazi.
7. Ukulu wa kuthamanga magazi pa zolimbitsa pachimake.
8. Mtima arrhythmias (bwinobwino zisamatero).
9. matenda inatsekeratu (ofotokoza zambiri za mtundu wa kuphwanya, nthawi yatsoka ake).
10. CHD kalasi malingana ndi msinkhu mphamvu zolimbitsa thupi chimene kupatuka.

Yekha chinkhoswe mu kutanthauzira katswiri wa zotsatira ECG kutsegula. Norma ntchito ndi osiyanasiyana malingana ndi msinkhu ndi kugonana wodwala. The kupatuka pang'ono kuchokera malamulo analandira sakumvetsabe kulankhula za kukhalapo kwa chikhalidwe pathological. Ngati ndi kotheka, ndondomeko Mungathe kubwereza pambuyo nthawi zina.

mapeto mayeso

Wachisoni chimake atsimikiza Mwachangu mkulu komanso kusowa kusintha ECG ndi katundu. A chitsanzo ankaona zokayikitsa ngati lokhazikika kuchepetsa gawo cha ku Switzerland (kusintha imeneyi ndi Zithunzi pakati pa mano S ndipo T). Chifukwa zodabwitsazi akhoza ataphimbidwa kuchuluka mpweya m'mapapo mwanga, maganizo pafupipafupi, yaitali ndi mankhwala antiarrhythmic, akusowa potaziyamu mu thupi.

Ndi nyemba zabwino kuchokera wodwalayo matenda fibrillation, kawirikawiri kumenyedwa msanga, cha ku Switzerland gawo kosangalatsa oposa 2 mm. Pankhaniyi, ndikofunika kudziwa nthawi pamene panali zizindikiro zofanana, katundu pazipita, mlingo mtima.

Kodi katundu pa atrium bwino?

The ECG olembedwa matenda osiyanasiyana a minofu mtima. Mmodzi wa syndrome zoopsa ndi hypertrophy wa atrium bwino. kudwala Izi kawirikawiri anati matenda a ziwalo kupuma, chifukwa gawo ili la mtima amalankhula kwa dongosolo m'mapapo mwanga. Odwala kobadwa nako m'mapapo mwanga mtsempha wamagazi ndi bwino matenda zimamuchulukira aonekera.

Vavu kudwala Tingaone pa electrocardiogram lapansi. Chizindikiro cha kupatuka kusintha P. yoweyula matenda pa nthawi yake adzalola kuyamba mankhwala umalimbana kuchotsa zodabwitsazi.

Kukonzekera ndondomeko

Kupeza zotsatira odalirika, m'pofunika kukonzekera ECG yonyamula katundu. Pamaso pa mayeso kuchotsa maganizo ndi thupi, kusiya kumwa mowa. A masiku angapo lilibe mankhwala amene amakhudza minofu mtima. Ndi zotsatira zoipa zotsatira chitsanzo mulole katundu chakudya.